OPTIMIZING OPERATING ROOM SETUP AND PATIENT POSITIONING IN ROBOTIC GYNECOLOGIC SURGERY

Robotic-assisted gynecologic surgery demands meticulous attention to operating room (OR) setup and patient positioning to optimize surgical outcomes and minimize complications. This review synthesizes current best practices from a comprehensive chapter and a detailed presentation, supplemented by recent literature, focusing on key aspects for gynecologists. We discuss essential preoperative preparations, including patient selection, prophylactic measures, and uterine manipulator considerations. The optimal OR configuration, particularly the side docking approach, and team positioning are detailed for efficient workflow. Critical elements of patient positioning, such as modified dorsal lithotomy and judicious Trendelenburg tilt, are examined. Furthermore, we highlight potential risks and complications associated with positioning, including neuropathies and ocular issues, and provide practical tips for mitigation. By adhering to these guidelines, gynecologic surgeons can enhance safety, efficiency, and overall success in robotic procedures.